Organization Active NPI

Test Me Out Inc

  • Prosthetic/Orthotic Supplier
  • New Bern, NC
National Provider Identifier
1073663373
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
018518 Issued in NC
Legal business name
TEST ME OUT INC
Practice address
3262 Wellons Blvd
New Bern, NC 28562-5234
Phone
(252) 635-6770
Fax
(252) 635-9577
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Janis T Gaskill, C.M.F.
Title
Owner
Phone
(252) 635-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 018518 NC Primary

Addresses

Primary practice location

3262 Wellons Blvd
New Bern, NC 28562-5234

Mailing address

3262 Wellons Blvd
New Bern, NC 28562-5234
Phone (252) 635-6770

Other identifiers 2

IdentifierTypeStateIssuer
0423VOtherNCBCBS PROVIDER NUMBER
7701949MedicaidNC

Other names 1

  • Second Nature Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930068162 NC DME Supplier - Medical Supply Company With Prosthetic Personnel 2567582513 Practice locations: New Bern, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Second Nature3262 Wellons Blvd, New Bern, NC 28562-5234(252) 635-6770 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

3262 Wellons Blvd
New Bern, NC 28562
Phone (252) 635-6770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1073663373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 WELLONS BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625234",
            "telephone_number": "252-635-6770",
            "fax_number": "252-635-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 WELLONS BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625234",
            "telephone_number": "252-635-6770",
            "fax_number": "252-635-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEST ME OUT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "GASKILL",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-635-6770",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.M.F."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "018518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0423V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701949",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Nature",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.